Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck

Bobbie L. Parwar, Amani A. Fawzi, Anthony C. Arnold, Steven D. Schwartz

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

PURPOSE: To report a case of Horner's syndrome and dissection of the internal carotid artery after chiropractic manipulation of the neck. METHODS: Case report. A 44-year-old woman with no prior ocular or vascular history presented with severe right-sided head and neck pain, ptosis, and miosis following chiropractic treatment for a strained right shoulder muscle. RESULTS: Magnetic resonance angiography of the neck and brain revealed a dissection of the right internal carotid artery as well as a suggestion of subtle dissection in the right vertebral artery. No significant brain abnormalities were noted on magnetic resonance imaging. Pharmacological testing was consistent with preganglionic oculosympathetic damage. CONCLUSION: Acute, painful Horner's syndrome as a manifestation of vascular dissection may be associated with chiropractic manipulation of the neck.

Original languageEnglish (US)
Pages (from-to)523-524
Number of pages2
JournalAmerican journal of ophthalmology
Volume131
Issue number4
DOIs
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Ophthalmology

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